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Nursing 201 > Neuro Meds > Flashcards

Neuro Meds Flashcards

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1
Q
  • Indications: Cause pupil dilation
  • Considerations: Allows ophthalmic exam of the retina
A

Atropine Sulfate

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2
Q
  • Indications: Cause pupil dilation
  • Considerations: Allows ophthalmic exam of the retina
A

Atropine Sulfate

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3
Q

Indications: Mydriasis/cycloplegia (paralyze the eye) in diagnostic procedures.
Considerations: Compress lacrimal sac for 1-2 minutes after administration to decrease and systemic absorption. CNS symptoms

Use of sunglasses after since everything is so bright.

A

Cyclopentolate (AK Pentolate)

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4
Q

Used for Open Angle Glacucoma

Action: Decrease aqueous humor production

A

timolol, levobunolol, betaxolol

Beta-blockers

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5
Q

Side effects: Can have systemic effects, including bradycardia, exacerbation of pulmonary disease, and hypotension

A

timolol, levobunolol, betaxolol

Beta-blockers

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6
Q

Contraindicated in patients with asthma, chronic obstructive pulmonary disease, second- or third-degree heart block, bradycardia, or heart failure

educate patients about punctal occlusion to limit systemic effects

A

timolol, levobunolol, betaxolol

Beta-blockers

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7
Q

Treatment for Acute & Chronic glaucoma

Increase aqueous fluid outflow by contracting the ciliary muscle and causing miosis (constriction of the pupil) and opening of trabecular meshwork

1-2gtts up to 6x day

A

(miotics) (pilocarpine, carbachol intraocular)

Cholinergics

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8
Q

Side effects: Periorbital pain, blurry vision, difficulty seeing in the dark, tachycardia

A

(miotics) (pilocarpine, carbachol intraocular)

Cholinergic

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9
Q

Decrease aqueous humor production

A

acetazolamide, dorzolamide

Carbonic anhydrase inhibitors

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10
Q

brinzolamide - TOP
acetazolamide - PO, IV

A

Administration of Carbonic Anhydrase Inhibitors

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11
Q

Side effects of what medicine?

Boxed warning: Stevens-Johnson syndrome and blood dyscrasias
Paresthesias
Upset stomach
Metabolic acidosis
Frequent urination

A

brinzolamide (Azopt); acetazolamide; dorzolamide

Carbonic Anhydrase Inhibitors

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12
Q

Nursing Implications

Do not administer to patients with sulfa allergies; monitor electrolyte levels.

A

acetazolamide, dorzolamide

Carbonic anhydrase inhibtors

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13
Q

Treatment of open angle glaucoma and ocular hypertension

Decrease production, Increase outflow

Do not use with MAOI, 1gtt TID

A

brimonidine tartrate

Alpha 2 Adrenergic Agonist

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14
Q

Side effects

  • Dizziness,
  • drowsiness,
  • unsteadiness,
  • nausea and vomiting,
  • diplopia,
  • mild leukopenia
A

carbamazepine

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15
Q

Toxic Effects

Severe skin rash, blood dyscrasias, hepatiti

A

carbamazepine

anticonvulsant

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16
Q

Dizziness,
somnolence,
double vision,
fatigue,
nausea,
vomiting,
loss of coordination,
abnormal vision,
abdominal pain,
tremor,
abnormal gait

Toxic Effects: Hepatotoxicity

A

oxcarbazepine

anticonvulsant

17
Q

Treatment of myclonics seizures
10-15mg/kg/day up to 60mg/kg/day

A

valproic acid

antipileptic drug

18
Q

Tauradol, zufran may be used for what condition?

A

Client with chronic headaches

19
Q

Indications

Reduce pain from an acute migraine-inhibits prostaglandin synthesis

A

naproxen sodium

NSAIDS

20
Q

Adverse effects

Bronchospasm
Anaphylaxis
GI bleeding and upset
Black box warning: Increase risk for cardiovascular events and GI bleeding

Contraindications: Allergies, pregnancy/lactation

Nursing: Take with meals

A

naproxen sodium

NSAIDS

migraines

21
Q

Indications

  • Used to reduce pain related to migraine or tension headache
  • Each component has adverse effects and contraindications
A

acetaminophen, aspirin, caffeine (excedrine migraine, anacin headache formula)

Consider a polypharmacy

22
Q

Nursing managment

  • Take with food
  • Watch for bleeding
  • Palpitations
A

acetaminophen, aspirin, caffeine (excedrine migraine, anacin headache formula)

consider a polypharmacy

23
Q

Indications

  • Prevention and abortion of migraine attacks in adults
  • Produces stimulation of the cranial and peripheral vascular smooth muscles while depressing the effects of the central vasomotor centers, constricts and peripheral blood vessels
  • One tab sublingual at first of headache. Repeat at 30 minute intervals for a total of 3 tabs.
A

ergot alkaloids

ergotamine tartrate (ergomar)

24
Q

Adverse effects

Cardiovascular-tachycardia, vasospasm, hypertension, vertigo, muscle pain

Nursing: Monitor BP and pulse

A

ergot alkaloids

ergotamine tartrate (ergomar)

25
Q

Indications

Acute migraine
Cluster headache

A

sumatriptan (40mg), almotriptan (40mg), zolmitriptan(10mg)

Serotonin 5 ht agonist

26
Q

Nursing Implications

  • CNS effects: Headache
  • Do not take Ergot alkaloids concurrently (or within 24 hours) of triptans
  • Contraindicated: Ischemic heart disease, MI
  • Monitor BP/Pulse
A

sumatriptan (40mg), almotriptan (40mg), zolmitriptan(10mg)

Serotonin 5 ht agonist

Nursing 201 (2 decks)

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